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DR. ANN ROUSSELLE PH.D
NPI 1396044459
Psychologist - Clinical Child & Adolescent in Salt Lake City, UT

Active since March 15, 2011PECOS Enrolled
5770 S 1500 W, BUILDING G, SALT LAKE CITY, UT 84123(801) 313-7770(801) 313-7771 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ann Rousselle Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANN ROUSSELLE PH.D (NPI 1396044459) is an individual clinical child & adolescent provider in Salt Lake City, Utah, licensed in Utah (7893436-2501) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396044459
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. ANN ROUSSELLECredential: PH.D
Location Address5770 S 1500 W, BUILDING GSalt Lake City, UT 84123-5216
Mailing Address85 Bryant Woods SAmherst, NY 14228-3604 · (801) 313-7770 · Fax (801) 313-7771
Phone(801) 313-7770
Fax(801) 313-7771
Sole ProprietorYes
Enumeration DateMarch 15, 2011
Last NPPES UpdateOctober 24, 2017
✔ NPI 1396044459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in UT · 7893436-2501
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

5770 S 1500 W, Salt Lake City, UT 84123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ann Rousselle Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA KATHLEEN FAWSON APRN, DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (385) 478-2000
MRS. PAIGE JOLYNN STODTMEISTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7711
RACHEL WINWARD LCSW
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7770
IHC HEALTH SERVICES INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7770
ANNA VLADIMIROVNA KASABYAN APRN
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7770
NANCY N CANNON LCSW
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 265-3000
AMY KATHERYN PARRY DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
SALT LAKE CITY, UT 84123
Salt Lake County (801) 265-3412
CLAIRE R STOECKER LCSW
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 265-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ann Rousselle's NPI number?

The NPI number for Ann Rousselle is 1396044459. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Ann Rousselle located?

Ann Rousselle practices at 5770 S 1500 W Building G, Salt Lake City, UT 84123. The listed phone number is (801) 313-7770.

What is Ann Rousselle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Ann Rousselle enrolled in Medicare?

Yes. Ann Rousselle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ann Rousselle was last updated on October 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.